Tokyo Neuropsychologist relocated to France and became International Neuropsychologist. Tokyo visits for assessments will be announced at this website. I am also available for consultations by Skype.

The next planned Tokyo visit is mid-November 2019. Please connect to me before mid-October for an intake if you would like your child to be assessed during my Tokyo visit.

Services​

Tokyo Neuropsychologist provides comprehensive neuropsychological and neuropsycho-educational evaluations and consultations. I focus on children and adolescents with a diverse range of issues (medical or developmental) that may impact thinking, learning, emotional functioning and behavior. I also evaluate adults with developmental or medical disorders that affect cognitive functioning.

I work with children attending an international school (English or French speaking) in Japan. I do not provide familytherapy, neither psychotherapeutic interventions for, among others, mood disorders, eating disorders, self-harm, aggression etc., but families will be referred on to colleagues if they need such support. I can however be consulted for children who have organisational issues, cognitive problems (memory, attention, visual spatial problems) and/or social difficulties.

Neuro-psychoeducational consultations? As a neuropsychologist I try to understand why a child is struggling at school. With specific tests I can find out how a child processes information. For example, a child with a weak attention in the classroom can have this for many reasons. Not all inattentiveness is due to poor motivation or ADHD, but there may be for example sensory issues, or subtle issues in language processing or in reasoning, or emotional issues. Only by understanding these can a school adjust the instruction and provide accommodations for the child. Another example of children I frequently assess are students who struggle to read, despite being very articulate and showing excellent reasoning skills. Although "a diagnostic label" such as a reading disorder may be relatively easily given, it still does not explain what the underlying processing issue is for this specific child. Is the child having problems in visually processing words? (in forming a mental word image or in visually attending to the words in a line?); or in breaking up words in sounds?; is there a problem in comprehension despite good reading?; is the child able to keep the information that it is reading online in his/her mind? etc. The possible underlying processing issues are numerous, but with (neuro)psycho-educational assessment tools I develop a profile of the child's learning strengths and weaknesses with the aim of coming up with recommendations for school and parents to assist in finding and implementing evidence-based strategies to support struggling learners.I provide neuropsychological consultations for children with ADHD, Autism Spectrum Disorders and the whole range of Learning issues (in math, writing, reading, visual-spatial processing, memory problems, etc.).

The assessment process explained for parents and school.Some assessments require a few hours of testing (e.g. dyslexia assessment), while others are a more lengthy process. All assessments start with an intake interview with preferably both parents, without the child. I try to understand the issues of your child and the background of these, both in developmental and medical sense and in terms of environmental background (family, school environment etc.). It is of course also an opportunity for parents to ask questions.Prior to scheduling an intake appointment, a form is sent out which includes two questionnaires about the child's developmental, medical, social and academic history. I will review the information before the intake. This intake is usually by Skype (Skype name: International Neuropsychologist).Only after parents’ written approval will I do a school observation, if needed. The child does not know me at that stage so will usually not be distracted by my presence in the class. If a school observation is not possible then I may schedule another type of observation (e.g. home observation or observation in the playground).Teachers and relevant others (doctor, learning support teachers, counselor etc.) may be interviewed (again, if parents have given written consent for this).

Testing: Many tests can be administered online, but for some I need a face to face meeting. For online assessments the child needs to have a space at home or school where it has privacy. Parents can be present at the beginning, but not during actual test administration. An internet connection, a tablet computer (with screen size of an iPad Mini or larger), laptop/PC are needed. Testing cannot be done by FaceTime and not when using a mobile phone. The length of testing will of depend on the age and stamina of the child, and testing will be mixed with breaks. I do not plan assessment sessions after school, because the child will be fatigued and not perform optimally. After the first testing another testing session may be scheduled.For testing in the office: In general, family members cannot stay in the office during testing, but parents are requested to stay in the neighbourhood (or in the waiting area when tested in the Wesley center) and take the child out during the lunch break.

After the test sessions I invite parents again for a meeting to get additional information. I will then integrate test data, information from the interviews, behavioral observations, and available medical evidence into a comprehensive report with recommendations. The report will be discussed with parents and usually also with the school. Parents will get a copy of the report that is sent to them electronically in a secured HIPAA compliant site. I only provide reports directly to the school or other health professions after parents have requested me to do so (in writing or by email).

The above process is a description of a full assessment package. Briefer assessments without reports are also possible, depending on the questions that the parents / school have. Be aware though that some schools request a written report, so please check with them beforehand.

FeesAn assessment is usually not done in a few hours and is thus a costly proces. Tokyo Neuropsychologist has a commitment to serve the community, regardless of ability to pay. As such I have a regular fee for families with a monthly brut income of 1.000.000 Yen or more (and for the families who have a reimbursing health insurance), and a sliding fee for those with lower than 1 million Yen revenues. This service can however only be sustainable if you provide me with a proof of income. Pro bono services are available for families with very limited financial resources. Consultations, interventions, and assessments are charged by the session hour (50 min.) so that you have full insight in the hours spent. I do thus not work with "assessment packages" that may overcharge you when not that many hours are needed. Also, a full assessment with report is capped so that you will always know beforehand what the maximum fee will be if the assessment of your child appears to be much more extensive than thought beforehand. Reports will only be send out after the bill has been settled. Services are unfortunately not covered by the Japanese health insurance.

LanguagesAssessments can be done in English or French. For intakes and feedback meetings the Psychologist Assistant can provide translation to parents who prefer to speak in Japanese.

InternsI sometimes work with interns in my practice. A psychology universitystudent may be present during intakes and assessments, but not during therapy sessions. The student adheres to the same ethical professional code (with confidentiality) as the psychologist.